- Carle Health (Urbana, IL)
- …Responsible for handling escalated account and payer disputes. Handles complex edits, appeals and advanced account activities such as settlement and refund requests, ... Responsible for answering, documenting and completing inquiries from patients, insurance companies, public agencies, internal departments, attorneys and 3rd party… more
- State of Colorado (CO)
- …of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov under Rules. Supplemental Information… more
- State of Colorado (Pueblo, CO)
- …of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, atspb.colorado.govunder Rules. Supplemental Information Equity, Diversity,… more
- Actalent (Atlanta, GA)
- …Orlando, FL. Job Description Join our team as a Pharmacy Technician in the Appeals department, where you will play a crucial role in assisting Medicare and Medicaid ... entry skills. + Pharmacy Technician certification. + Experience with appeals , managed care, claims, and denials. + Strong customer...- Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and… more
- State of Colorado (Greenwood Village, CO)
- …of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State ... Rules and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov under Rules. ADAAA Accommodations CDOT… more
- Mount Sinai Health System (New York, NY)
- …current insurance coverage. 5. Collaborates and participates in the appeals process with all members of the interdisciplinary team. 6. Collaborative ... collaboratively with physicians and managed care companies on concurrent denial appeals e. Communicates clinical information to the payor, as needed, coordinating… more
- State of Colorado (Denver, CO)
- …of notice or acknowledgement of the department's action. For more information about the appeals process, the official appeal form, and how to deliver it to the State ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.govunder Rules. Supplemental Information A… more
- CaroMont Health (Gastonia, NC)
- …medical record for clinical denials. Composes a detailed summary of care and sends appeals to MCO, Medicare, or RAC for reversal of original determination. May serve ... and appeal results. Maintains the Status Change Database. Performs retrospective clinical reviews/ appeals as part of denial process. The UR Specialist will be cross… more
- State of Colorado (Pueblo, CO)
- …by the State Personnel Director if your application is eliminated. You will find the appeals process, the official appeal form, and how to deliver it on the State ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, within the Rules (https://spb.colorado.gov/board-rules) webpage. Supplemental… more
- CVS Health (Franklin, TN)
- …referrals, new claim handoffs, nurse reviews, complaints (member/provider), grievance and appeals (member/provider) via target system. + Educates providers on our ... incoming correspondence and internal referrals. + Handles incoming requests for appeals and pre-authorizations not handled by Clinical Claim Management. + Performs… more